NPIMap

Individual provider Active NPI

Ruth M Brocato, MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1104990977
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0045753 Issued in MD
Practice address
6701 N Charles St
Suite 5105
Baltimore, MD 21204-6808
Phone
(443) 849-3594
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0045753 MD Primary

Addresses

Primary practice location

6701 N Charles St
Suite 5105
Baltimore, MD 21204-6808

Mailing address

PO Box 418953
Boston, MA 02241-8953

Other identifiers 1

IdentifierTypeStateIssuer
263500300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000719 MD Practitioner - Family Practice 5799859419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1734 York Rd
Lutherville, MD 21093-5606
Phone (410) 252-2273

Hospital & facility affiliations

  • Stella Maris, Inc. Home health agency, Timonium, MD, CCN 217072
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0045753MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. Family Medicine CurrentSince Nov 7, 2016 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Oct 1, 2013 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Oct 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

14A Mount Carmel Rd
Parkton, MD 21120
Phone (410) 357-9283

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

6701 N Charles St
Ste 5105
Towson, MD 21204
Phone (443) 849-2397

Interoperability endpoints

  • Direct secure messaging: rbrocato36214@direct.mdmercy.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1104990977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418953",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "SUITE 5105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-849-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCATO",
        "first_name": "RUTH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0045753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263500300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.